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Archives de pédiatrie
Volume 14, n° S4
pages 216-221 (décembre 2007)
Doi : 10.1016/S0929-693X(07)78710-9
Bronchoscopie interventionnelle en pédiatrie
Interventional bronchoscopy in pediatrics
 

L. Donato 1, , S. Litzler 1, T.M.H. Tran 2, E. Mihailidou 3
1 Pôle médico-chirurgical de pédiatrie, hôpitaux universitaires de Strasbourg, avenue Molière, 67100 Strasbourg, France 
2 Service de pneumologie pédiatrique, hôpital national de pédiatrie de Hanoi, Vietnam 
3 Département de pédiatrie, hôpital universitaire de Crète, Heraklion, Grèce 

Auteur correspondant. L. Donato.
Résumé

Les indications de bronchoscopie interventionnelle sont multiples chez l’enfant : extraction de corps étranger, broncho-aspiration, intubation difficile, intubation sélective et contrôle des voies aériennes en cours de chirurgie du thorax ou chez l’enfant intubé en réanimation. Certaines techniques de bronchoscopie interventionnelle empruntées à l’adulte peuvent trouver des indications en pédiatrie : dilatation de sténose, photorésection au laser, pose de stent trachéo-bronchique. Il n’existe aucune règle concernant l’application de telles techniques en pédiatrie et dont le bénéfice attendu doit être comparé à celui de techniques plus conventionnelles.

The full text of this article is available in PDF format.
Abstract

There is a wide range of indications for therapeutic bronchoscopy in children today: foreign body removal, bronchoaspiration, endoscopy-assisted tracheal intubation, selective intubation and airway management during thoracic surgery or in children undergoing mechanical ventilation. Some adult-derived methods may find potential indications in pediatric patients: airway stenosis dilation, laser photoresection, tracheobronchial stenting. There are no rules regarding such procedures in children, and supposed benefits have to be weighted against those of more conventional therapies.

The full text of this article is available in PDF format.

Mots-clés : Bronchoscopie, Photorésection laser, Prothèses trachéobronchiques, Intubation endoscopique




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